Supervisor TPCA Resolution in Atlanta, Georgia | DiversityInc Careers
 

Supervisor TPCA Resolution

DescriptionPOSITION SUMMARY

The Complex Claims Supervisor will be responsible for the day-to-day leadership of the Complex Claims Specialists. The position will lead a team responsible for the claims’ resolution portion of Change Healthcare’s Complex Claims Solution for Motor Vehicle Accidents (MVA), Workers’ Compensation, and other liability accounts. As a company leader, this position will be responsible for coaching, developing and helping team members to be successful in driving industry leading performance to our customers.

KEY RESPONSIBILITIES

Employee Coaching, Development and Training 35%
Quality Assurance / Work Review 25%
Workload Management 20%
Initiating Process Improvements 10%
Escalated / High Priority Claims Resolution 10%

RESPONSIBILITIES

• Meet weekly with each individual Complex Claims Specialist to discuss praise for quality work, areas where improvements are needed, and performance goals/metrics
• Monitor team members’ daily productivity goals and provide feedback where necessary
• Manage requests for time off based on department policy to ensure customer business needs are met
• Foster a positive team environment by leading daily team huddles to discuss team goals and performance from prior day
• Update and monitor KPI whiteboards for daily visibility of team’s performance
• Onboard and mentor new team members for system setup and getting acclimated to their new team
• Interview potential Complex Claims Specialist candidates for open positions in the department
• Manage team and individual daily workloads to drive excellent revenue performance for CEA’s customers through strong ownership of customers’ Key Performance Indicators (KPI)
• Continuously review processes and suggest process improvements to reduce cost and increase performance through eliminating non-value added work
• Provide constant feedback to leadership about concerns, resource needs and positive trends to ensure effective communication
• Collaborate with on-site team members at CEA’s customer sites to ensure expedited claims resolution
• Resolve any patient and/or customer escalations as needed
RequirementsMINIMUM JOB QUALIFICATIONS

Education / Training:

• Bachelors degree or 2+ years healthcare leadership experience
• High School Diploma or equivalent required

Business Experience:

• 2-4 years experience in healthcare revenue cycle or similar area
• 1+ years experience supervisory/management of 10+ team members
• Property and Casualty (Auto Insurance, Workers’ Compensation) experience preferred
• Health Insurance Appeals experience preferred
• Subrogation and Coordination of Benefits experience preferred